<!DOCTYPE html>
<html>
<head>
	<meta charset="UTF-8">
	<title>考试申请表</title>
	<link rel="stylesheet" href="layui/css/layui.css">
	<script src="layui/layui.js"></script>
	<script>
		layui.use('form', function(){
		  var form = layui.form;
		  //各种基于事件的操作，下面会有进一步介绍
		});
		layui.use('laydate',function(){
			var laydate = layui.laydate;
			
			//执行一个laydate实例
			laydate.render({
				elem: '#test1' //指定元素
			});
		});
	</script>
	
</head>
<body>
	<h2 align=center>考试申请表</h2>
	<form class="layui-form" action="">
 	<div class="layui-form-item">
	    <label class="layui-form-label">考试日期</label>
	    
	   	<div class="layui-input-block">
	      <input type="text" name="title" id="test1" required  lay-verify="required" placeholder="请输入考试时间" autocomplete="off" class="layui-input">
	    </div>
  	</div>
  	<div class="layui-form-item">
	    <label class="layui-form-label">考试时间段</label>
	   	<div class="layui-input-block">
	      <input type="text" name="title" required  lay-verify="required" placeholder="请输入考试科目" autocomplete="off" class="layui-input">
	    </div>
  	</div>
  	<div class="layui-form-item">
	    <label class="layui-form-label">考试课程号</label>
	   	<div class="layui-input-block">
	      <input type="text" name="title" required  lay-verify="required" placeholder="请输入考试科目" autocomplete="off" class="layui-input">
	    </div>
  	</div>
  	<div class="layui-form-item">
	    <label class="layui-form-label">考试班级号</label>
	   	<div class="layui-input-block">
	      <input type="text" name="title" required  lay-verify="required" placeholder="请输入考试班级" autocomplete="off" class="layui-input">
	    </div>
  	</div>
  	<div class="layui-form-item">
	    <label class="layui-form-label">考试教室</label>
	   	<div class="layui-input-block">
	      <input type="text" name="title" required  lay-verify="required" placeholder="请输入考试教室" autocomplete="off" class="layui-input">
	    </div>
  	</div>
  	
  	<label class="layui-form-label">监考工分</label>
	    <div class="layui-input-block" >
	      <select name="city" lay-verify="required">
	        <option value="0">1</option>
	        <option value="1">2</option>
	      </select>
	    </div><br>
	    
	 <label class="layui-form-label">副监考人数</label>
	    <div class="layui-input-block" >
	      <select name="city" lay-verify="required">
	        <option value="0">0</option>
	        <option value="1">1</option>
	        <option value="2">2</option>
	        <option value="3">3</option>
	        <option value="4">4</option>
	      </select>
	    </div><br>
  	
	  <div class="layui-form-item layui-form-text">
	    <label class="layui-form-label">补充说明</label>
	    <div class="layui-input-block">
	      <textarea name="desc" placeholder="如有补充说明的内容，请在此补充" class="layui-textarea"></textarea>
	    </div>
	  </div>
	  <div class="layui-form-item">
	    <div class="layui-input-block">
	      <button class="layui-btn" lay-submit lay-filter="formDemo">立即提交</button>
	      <button type="reset" class="layui-btn layui-btn-primary">重置</button>
	    </div>
	  </div>
	</form>
</body>
</html>